Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.79 / $74.13 / $120.23	Facility	26	$70.79	$74.13	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $426.58 / $851.14	Professional		$194.98	$426.58	$851.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $141.25 / $223.87	Professional	26	$66.07	$141.25	$223.87
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $562.34 / $562.34 / $562.34	Professional	52	$562.34	$562.34	$562.34
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $125.89 / $229.09 / $524.81	Professional	TC	$125.89	$229.09	$524.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $446.68 / $501.19	Professional		$354.81	$446.68	$501.19
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $125.89 / $162.18 / $177.83	Professional	26	$125.89	$162.18	$177.83
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $223.87 / $288.40 / $316.23	Professional	TC	$223.87	$288.40	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $371.54 / $645.65	Professional		$239.88	$371.54	$645.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $104.71 / $181.97	Professional	26	$64.57	$104.71	$181.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $239.88 / $512.86	Professional	TC	$151.36	$239.88	$512.86
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $660.69 / $660.69 / $660.69	Facility	26	$660.69	$660.69	$660.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $426.58 / $2,884.03	Professional		$208.93	$426.58	$2,884.03
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $141.25 / $562.34	Professional	26	$75.86	$141.25	$562.34
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $288.40 / $2,511.89	Professional	TC	$144.54	$288.40	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $398.11 / $630.96	Professional		$218.78	$398.11	$630.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $123.03 / $186.21	Professional	26	$67.61	$123.03	$186.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $269.15 / $467.74	Professional	TC	$144.54	$269.15	$467.74